Screening for chronic kidney disease in rural Malawi: results from a diabetic clinic

Kachimanga, Chiyembekezo; Kamwezi, Richard; Wroe, Emily; Nazimera, Lawrence; Ndarama, Enoch; Thengo, Limbani; Talama, George

doi:10.1186/s13104-019-4415-9

“…Contrary to our expectations, the odds of poor SRH were highest in Neno despite Neno having the highest per capita expenditure on health, the highest proportion of participants who considered the treatment they received to be of good quality and being anecdotally reported as a popular health tourism destination for residents from neighbouring districts. Neno also has integrated care programmes, which are unique to the district, and are credited to have resulted in increased case nding and uptake of various primary care services including chronic infectious & non-infectious diseases, with consequential improvements in survival rates (34)(35)(36).…”

Section: Srh and Socio-demographic Characteristicsmentioning

confidence: 99%

Factors associated with poor self-rated health in primary care in Malawi

Kasenda¹,

Meland²,

Hetlevik³

et al. 2021

Preprint

0

View full text Add to dashboard Cite

Background: Self-rated health (SRH) is a single-item measure of current health, which is often used in community surveys and has been associated with various objective health outcomes. The prevalence and factors associated with SRH in Sub-Saharan Africa remain largely unknown. This study sought to investigate: (1) the prevalence of poor SRH, (2) possible associations between SRH, and socio-demographic and clinical parameters, and (3) associations between SRH and the patients’ assessment of the quality of primary care. Methods: A cross-sectional study was conducted in 12 primary care facilities in Blantyre, Neno, and Thyolo districts of Malawi among 962 participants who sought care in these facilities. An interviewer-administered questionnaire containing the Malawian primary care assessment tool, and questions on socio-demographic characteristics and self-rated health was used for data collection. Descriptive statistics were used to determine the distribution of variables of interest and binary logistic regression was used to determine factors associated with poor SRH. Results: Poor SRH was associated with female sex, increasing age, decreasing education, frequent health care attendance, and with reported disability. Patients content with the service provided and who reported higher scores of relational continuity from their health care providers reported better SRH as compared with others. Conclusion: This study reports findings from a context where SRH is scarcely examined. The prevalence of poor SRH in Malawi is in line with findings from clinical populations in other countries. The associations between poor SRH and socio-demographic factors are also known from other populations. SRH might be improved by emphasizing continuity of care in primary care services.

show abstract

“…Contrary to our expectations, the odds of poor SRH were highest in Neno despite Neno having the highest per capita expenditure on health, the highest proportion of participants who considered the treatment they received to be of good quality and being anecdotally reported as a popular health tourism destination for residents from neighbouring districts. Neno also has integrated care programmes, which are unique to the district, and are credited to have resulted in increased case nding and uptake of various primary care services including chronic infectious & non-infectious diseases, with consequential improvements in survival rates (34)(35)(36).…”

Section: Srh and Socio-demographic Characteristicsmentioning

confidence: 99%

Factors associated with poor Self-rated health in primary care in Malawi

Kasenda

¹

,

Meland

²

,

Hetlevik

³

et al. 2021

Preprint

0

View full text Add to dashboard Cite

Background Self-rated health (SRH) is a single-item measure of current health, which is often used in community surveys and has been associated with various objective health outcomes. The prevalence and factors associated with SRH in Sub-Saharan Africa remain largely unknown. This study sought to investigate: (1) the prevalence of poor SRH, (2) possible associations between SRH, and socio-demographic and clinical parameters, and (3) associations between SRH and the patients’ assessment of the quality of primary care. Methods A cross-sectional study was conducted in 12 primary care facilities in Blantyre, Neno, and Thyolo districts of Malawi among 962 participants who sought care in these facilities. An interviewer-administered questionnaire containing the Malawian primary care assessment tool, and questions on socio-demographic characteristics and self-rated health was used for data collection. Descriptive statistics were used to determine the distribution of variables of interest and binary logistic regression was used to determine factors associated with poor SRH. Results Poor SRH was associated with female sex, increasing age, decreasing education, frequent health care attendance, and with reported disability. Patients content with the service provided and who reported higher scores of relational continuity from their health care providers reported better SRH as compared with others. Conclusion This study reports findings from a context where SRH is scarcely examined. The prevalence of poor SRH in Malawi is in line with findings from clinical populations in other countries. The associations between poor SRH and socio-demographic factors are also known from other populations. SRH might be improved by emphasizing continuity of care in primary care services.

show abstract

Factors associated with self-rated health in primary care in the South-Western health zone of Malawi

Kasenda

¹

,

Meland

²

,

Hetlevik

³

et al. 2022

View full text Add to dashboard Cite

Background Self-rated health (SRH) is a single-item measure of current health, which is often used in community surveys and has been associated with various objective health outcomes. The prevalence and factors associated with SRH in Sub-Saharan Africa remain largely unknown. This study sought to investigate: (1) the prevalence of poor SRH, (2) possible associations between SRH, and socio-demographic and clinical parameters, and (3) associations between SRH and the patients’ assessment of the quality of primary care. Methods A cross-sectional study was conducted in 12 primary care facilities in Blantyre, Neno, and Thyolo districts of Malawi among 962 participants who sought care in these facilities. An interviewer-administered questionnaire containing the Malawian primary care assessment tool, and questions on socio-demographic characteristics and self-rated health was used for data collection. Descriptive statistics were used to determine the distribution of variables of interest and binary logistic regression was used to determine factors associated with poor SRH. Results Poor SRH was associated with female sex, increasing age, decreasing education, frequent health care attendance, and with reported disability. Patients content with the service provided and who reported higher scores of relational continuity from their health care providers reported better SRH as compared with others. Conclusion This study reports findings from a context where SRH is scarcely examined. The prevalence of poor SRH in Malawi is in line with findings from clinical populations in other countries. The associations between poor SRH and socio-demographic factors are also known from other populations. SRH might be improved by emphasizing continuity of care in primary care services.

show abstract

Screening for chronic kidney disease in rural Malawi: results from a diabetic clinic

Cited by 3 publications

References 26 publications

Factors associated with poor self-rated health in primary care in Malawi

Factors associated with poor self-rated health in primary care in Malawi

Factors associated with poor Self-rated health in primary care in Malawi

Factors associated with self-rated health in primary care in the South-Western health zone of Malawi

Contact Info

Product

Resources

About